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Treatment guidelines

Edentulous

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Complete Denture Clinical Protocol

Successful oral rehabilitation of edentulous patients with removable prostheses demands careful adherence to a clinical protocol. Some simplified protocols have been successfully introduced...

 

 

 

Removable prosthetics
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Treatment guidelines

Edentulous

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Recall visits - overview

To achieve good long term results, regular recall control appointments should be scheduled. Ideally, recall appointments take place at least every 6 months for a systemic review of the general health...

Aftercare / follow up
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Treatment guidelines

Edentulous

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Post-operative care

The main objectives of post-operative care include control of the healing of the surgical site and identifying risks which could affect healing and, where pertinent, osseointegration. In addition, post-operative visits provide the opportunity to evaluate the... 

Aftercare / follow up
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Videos

Patrick Rutten: Creating substructures from the lab perspective

Patrick Rutten reviews the laboratory part within the digital workflow and the opportunities with CAD/CAM procedures being an excellent alternative to casting technique. CAD/CAM technology provides excellent and predictable precision, passive fit, significant labor and time savings...

Digital workflow
CAD/CAM
Prosthetic materials
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Treatment guidelines

Edentulous

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Fixed implant prostheses, introduction

A fixed prosthesis offers benefits from both a functional and esthetic point of view and may be regarded as quite similar to a patient's own natural dentition when compared to alternative treatment options such as complete dentures....

CAD/CAM
Prosthetic materials
Implant prosthetics
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Treatment guidelines

Edentulous

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Implant overdentures, introduction

Some patients present with soft and hard tissue defects that cannot be addressed by a fixed implant prosthesis when esthetics, phonetics and oral hygiene access are considered. In these patients who have struggled...

Implant prosthetics
Removable prosthetics
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Treatment guidelines

Edentulous

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Prosthodontic Options - overview

Fixed implant prostheses are associated with the best oral health and quality of life, as chewing performance and patient comfort are usually better than with a removable prosthesis. The use of all-ceramic, metal-ceramic or metal-resin prostheses offers...

Removable prosthetics
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Treatment guidelines

Edentulous

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Probing

Radiographical check-ups to evaluate bone levels cannot be repeated too often to avoid unnecessary radiation. Monitoring the overlying soft tissues may help to identify eventual problems of the underlying bone, although the correlation...

Aftercare / follow up
Peri-implant therapy
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Treatment guidelines

Edentulous

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Age

Edentulism as a consequence of (sub)total agenesis of deciduous and/or permanent teeth in children and adolescents is extremely rare. It is commonly a component of a generalized underlying condition such as ectodermal dysplasia. There are...

Fixed prosthetics
Removable prosthetics
Local factors
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Videos

David Gelb: Long term results and unique benefits with immediate implants

Based on a 24 year long term experience with over 12.000 implants placed, 6.000 of them with immediate placement protocol, and almost 2.000 implant restored with immediate loading protocol over 12 years, Dr Gelb presents a review of success rates and the unique benefits when using...
Immediate implant placement
Bone grafting and regeneration
Soft tissue management
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Videos

Andrea Mombelli: Peri-implant anti-infective therapy

Peri-implantitis is an infection around implants associated with the presence of submucosal bacterial biofilm, with the biofilm microorganisms adhering and hiding on irregular surface structures such as the rough implant surface, crown margin areas and unfavorably designed...
Peri-implantitis
Aftercare / follow up
Peri-implant therapy
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Videos

Björn Klinge: Is there a connection between previous periodontitis and later peri-implantitis

A consensus statement is an agreement on currently available knowledge and may shift over time based on new evidence. Today there are solid data that there is an association between history of periodontitis and later peri-implant inflammation and infection. However this finding...

Radiology
Peri-implantitis
Aftercare / follow up
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Patient cases

Immediate loading in the edentulous mandible for CAD/CAM prostheses

A 72-year-old female patient was affected by the poor fit of her existing mandibular complete denture, especially the constant movement while chewing. The final treatment included a new maxillary complete denture and a mandibular implant fixed complete denture. 

Radiology
Guided Surgery
CAD/CAM
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Patient cases

Splinted implant restorations replacing posterior teeth

A 73-year-old female patient presented with extensive bone loss around the posterior tooth abutment, requiring extraction. Two crowns were used to replace the missing teeth and they were splinted to control the leverage due to the distal location of the implant in the molar crown.

Posterior implants
Prosthetic materials
Implant prosthetics
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Videos

Pierre de Grandmont: Missing multiple posterior teeth: treatment planning considerations

The lecture discusses the need for treatment and the treatment options in multiple posterior missing teeth cases, as well as the barriers to such treatments. Treatment of missing teeth is not necessary in all cases, as long as there is adaptive capacity to maintain oral function...

Posterior implants
Aftercare / follow up
Removable prosthetics